Donald Trump nodding off on live TV and a turn of phrase used by Stephen Miller during interviews has left MSNBC host Symone Sanders-Townsend asking, “Who is actually in charge here?”

Speaking on The Daily Beast Podcast, Sanders-Townsend—a former advisor to Joe Biden and Kamala Harris—argued that Trump aides’ casual reaction to the 79-year-old president’s Oval Office nap last week suggests such lapses have become disturbingly routine.

“When I saw that, it brought up the questions again about, what is the actual apparatus of this White House? Who is actually in charge here?” said Sanders-Townsend, co-host of The Weeknight. “Because that can’t be the first time the president fell asleep. You know how I know? Because they didn’t bat an eye.”

Sanders-Townsend, 35, noted that at Trump’s frequent Executive Order ceremonies, his aides often appear to explain to him the contents of the very order he is signing.

“Is this the first time you are hearing about this? Did the president sign off on this in advance? Who is signing off on the particulars of what is happening in this White House?” asked Sanders-Townsend.

She pointed to White House Deputy Chief of Staff Stephen Miller’s use of “I” or “we” when speaking to reporters, a clear departure from the language she said she used as then-Vice President Harris’ chief spokesperson.

“When I worked at the White House, it is not ‘I’ or ‘we,’ it is ‘the president’ and ‘the vice president,’” she told host Joanna Coles. “And so if we’re using ‘I’ statements, are you the one making the decision, Stephen Miller, about these strike force teams [in the Caribbean]? How much aware is the president of what is going on?”

She said, “These are all questions I think that deserve to be asked,” arguing that Trump is facing far less scrutiny over his fitness from the press than Joe Biden did.

If Biden, now 82 years old, had dozed off during an Oval Office event, “it would be breaking news for three weeks,” she added.

Trump’s vacant reaction when a man fainted behind him during the very event where he fell asleep raises even more questions, according to Sanders-Townsend.